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Ⅰ期子宫内膜癌的主要治疗方法的是手术,而那些有深肌层浸润的Ic期病人需接受全盆腔外照射及阴道放疗。但两者是否都需要,目前还不清楚。为评估单纯盆外照射对Ic期子宫内膜癌患者的治疗效果,芝加哥大学1986年7月～1995年7月对61例Ic期子宫内膜癌的患者应用盆腔外放疗。肿瘤分期采用1988年FIGO标准,平均年龄69(44～87)岁。常见病理类型:子宫内膜腺癌(43/61),腺棘癌(6/61),腺鳞癌(8/61)和浆液性乳头癌(4/61);病理分化:Ⅰ级16例,Ⅱ级31例,Ⅲ级14例。手术方式为全子宫加双附件切除术,盆腹腔探查及腹腔冲
Ⅰ endometrial cancer treatment is the main method of surgery, and those who have deep myometrial invasion in patients with Ic need to receive full pelvic radiation and vaginal radiation. However, it is unclear whether both need it. To evaluate the efficacy of simple extra-pelvic irradiation on patients with Ic endometrial cancer, we performed pelvic radiotherapy in 61 patients with stage Ic endometrial cancer from July 1986 to July 1995 at the University of Chicago. Cancer staging used 1988 FIGO standard, the average age of 69 (44 ~ 87) years old. Common pathological types: endometrial adenocarcinoma (43/61), adenocarcinoma (6/61), adenosquamous carcinoma (8/61) and serous papillary carcinoma (4/61); pathological differentiation: grade Ⅰ in 16 cases , Grade Ⅱ 31 cases, grade Ⅲ 14 cases. Surgical methods for the whole womb plus double attachment resection, abdominal exploration and abdominal punches